MARY O POLK


Address: 1920 Pickens St, Columbia, SC 29201
Phone: 8032547732

MARY O POLK (NPI# 1376559385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376559385
Entity Type Individual
Full Name MARY O POLK
Practice Address 1920 Pickens St
Columbia
SC 29201
Mailing Address 100 Palmetto Park Blvd
Lexington
SC 29072
Practice Telephone 8032547732
Practice Fax Number 8037487199
Mailing Telephone 8038060075
Mailing Fax Number 8033569846
Enumeration Date 2006-07-31
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 19711 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC AN0102 05

Other Providers MARY POLK

NPI Name Taxonomy Address Enumeration
1669712295 Mary Kay Polk Registered Nurse 4400 S Saginaw St Ste 1400, Flint, MI 48507-2645 2013-02-19
1427158104 Mary O. Polk Internal Medicine 301 N 8th St, 3rd Floor, Springfield, IL 62701-1041 2006-09-23
1487611646 Mary Catherine Polk Nurse Practitioner 289 Pleasant St, Suite 301, Fall River, MA 02721-3005 2006-04-28

Office Location

Street Address 1920 PICKENS ST
City COLUMBIA
State SC
Zip Code 29201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639131295 Hal Holland Crosswell IIi Ophthalmology 1920 Pickens St, Columbia, SC 29201 2006-04-06
1881089571 Jae Youn Sarah Lee Ophthalmology 1920 Pickens St, Columbia, SC 29201-2632 2015-03-31
1629489232 Joshua Gray Nunn Internal Medicine 1920 Pickens St, Columbia, SC 29201 2014-05-16
1063737351 Stephen Aloysius Cross Ophthalmology 1920 Pickens St, Columbia, SC 29201-2632 2010-03-30
1720204662 Columbia Eye Clinic, Pa Eyewear Supplier (Equipment, not the service) 1920 Pickens St, Columbia, SC 29201-2632 2007-04-18
1720175573 Columbia Eye Surgery Center Inc Clinic/Center 1920 Pickens St, Columbia, SC 29201 2006-10-05
1467468470 Coy L Garrick Nurse Anesthetist, Certified Registered 1920 Pickens St, Columbia, SC 29201 2006-07-31
1700892718 Brenda J Mack Nurse Anesthetist, Certified Registered 1920 Pickens St, Columbia, SC 29201 2006-07-31
1427062967 Tyson Forrester Nurse Anesthetist, Certified Registered 1920 Pickens St, Columbia, SC 29201 2006-07-28
1912920810 Edna J Peagler Nurse Anesthetist, Certified Registered 1920 Pickens St, Columbia, SC 29201 2006-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366049421 Souzan Moslehshirazi Behavior Technician 1320 Main Street Suite 300, Colombia, SC 29201 2020-10-02
1295353936 Kayla Faylyn Nicole Mckenzie Specialist/Technologist 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 2020-07-09
1548887128 Casania's Caring Hands,llc Home Health Aide 1113 Belleview Street, 105, Columbia, SC 29201 2020-06-30
1639719909 Benjamin Clark Watson Acupuncturist 1825 Sumter St., Columbia, SC 29201 2020-01-14
1588217574 Aneika Daley Specialist/Technologist 1211 Wheat St, Columbia, SC 29201 2019-07-19
1447803531 Gillian Taylor Shaughnessy Specialist/Technologist 147 South Marion St, Columbia, SC 29201 2019-07-18
1417417619 Maria Nelson Behavior Technician 320 Main St Suite 300, Columbia, SC 29201 2019-03-22
1679041297 Nathaniel Carl Stocker Nurse Practitioner 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 2018-11-13
1558852855 The Practice Family Medicine 1910 Gregg Street, Columbia, SC 29201 2018-05-22
1871095836 Kadesjah Samuels Behavior Technician 1320 Main Street, Suite 300, Columbia, SC 29201 2018-03-06
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598143521 Lasette Denise Allen Nurse Anesthetist, Certified Registered 1 Hospital Dr # 3w-27, University of Missouri, Dept of Anesthesiology, Columbia, MO 65212-1000 2015-05-11
1366855363 Christin Jennifer Stoner Nurse Anesthetist, Certified Registered 2607 Stratford Chase Pkwy, Columbia, MO 65201 2014-06-06
1134543614 Meghan Lees Nurse Anesthetist, Certified Registered 4608 Waterloo Driv, Ste 170, Columbia, MO 65202 2014-02-05
1215359369 Anna Allen Nurse Anesthetist, Certified Registered 1330 Taylor St, Columbia, SC 29201-2915 2014-01-08
1700214954 Matthew Grayson Nurse Anesthetist, Certified Registered 2655 Harrison Rd, Columbia, SC 29204-2530 2013-10-25
1609136431 Jill Timms Cox Nurse Anesthetist, Certified Registered 1436 Dahlia Rd, Columbia, SC 29205-4812 2012-05-27
1205109428 Sc Anesthesiology LLC Nurse Anesthetist, Certified Registered 1520 Taylor Street, Suite 250, Columbia, SC 29201-2912 2012-02-18
1225305840 Joseph Onukwufor Udeh Nurse Anesthetist, Certified Registered 7661 Woodpark Ln Apt 303, Columbia, MD 21046-2736 2011-11-28
1750685962 Ramses Baguio Nurse Anesthetist, Certified Registered 1316 Old Highway 63 S Ste 102, Columbia, MO 65201-6092 2011-01-03
1518260686 Thomas Joseph Ortbals II Nurse Anesthetist, Certified Registered 1600 E. Broadway, Anesthesia Department, Columbia, MO 65201-6092 2010-12-13
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City COLUMBIA
Zip Code 29201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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